NCLEX-PN
2023 NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A nurse is assessing a client with suspected pulmonary edema. Which finding is most indicative of this condition?
Correct Answer: B
Rationale: Frothy, pink-tinged sputum is a classic sign of pulmonary edema, indicating fluid leakage into the alveoli due to left heart failure.
Question 2 of 5
A client with a history of angina is prescribed isosorbide mononitrate. Which instruction should the nurse include?
Correct Answer: D
Rationale: Isosorbide mononitrate can cause orthostatic hypotension, so avoiding sudden position changes prevents dizziness or falls.
Question 3 of 5
A client with a history of chronic lymphocytic leukemia is receiving chemotherapy. Which assessment finding indicates a need for immediate intervention?
Correct Answer: B
Rationale: A fever of 102°F in a chemotherapy client suggests possible neutropenic sepsis, a life-threatening infection requiring immediate intervention.
Question 4 of 5
A nurse is assessing a client with suspected hypovolemic shock. Which finding is most indicative?
Correct Answer: B
Rationale: Tachycardia is a compensatory response to hypovolemic shock as the body attempts to maintain cardiac output in the face of reduced blood volume.
Question 5 of 5
A nurse is assessing a client with suspected pulmonary edema. Which finding is most indicative of this condition?
Correct Answer: B
Rationale: Frothy, pink-tinged sputum is a classic sign of pulmonary edema, indicating fluid leakage into the alveoli due to left heart failure.